| NPI | 1528129715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CO DR.0077341) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: CO DR.0077341) |
| 2086S0129X (Licence: MA 231144) | |
| 2086S0129X (Licence: IL 036.128282) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2026-04-03 |